{"id":13162,"date":"2017-12-12T01:30:20","date_gmt":"2017-12-12T07:30:20","guid":{"rendered":"https:\/\/www.unk.com\/blog\/?p=13162"},"modified":"2024-04-08T11:00:55","modified_gmt":"2024-04-08T17:00:55","slug":"how-to-help-the-client-who-doesnt-want-therapy","status":"publish","type":"post","link":"https:\/\/www.unk.com\/blog\/how-to-help-the-client-who-doesnt-want-therapy\/","title":{"rendered":"How to Help the Client Who Doesn\u2019t Want Therapy"},"content":{"rendered":"<p><em>&#8220;When we are no longer able to change a situation, we are challenged to change ourselves.&#8221;<\/em><\/p>\n<p style=\"text-align: right;\">&#8211; Viktor E. Frankl, <em>Man&#8217;s Search for Meaning<\/em><\/p>\n<p>&#8220;They have to <em>want<\/em> to change!&#8221;<\/p>\n<p>I bet you&#8217;ve heard this. It&#8217;s one of those therapeutic clich\u00e9s. An unmotivated or reluctant client is no client at all. But they could be.<\/p>\n<p>Like many clich\u00e9s, there&#8217;s some truth in it. We <em>do<\/em> need our clients to be focused on their own cure. Or sometimes we need to find ways for them to be cured <em>despite<\/em> self-sabotage. We can throw a lifeline to someone, but they <em>do<\/em> need to grab it.<\/p>\n<h3>Prefer to watch instead?<\/h3>\n<div class=\"video-container\"><iframe loading=\"lazy\" width=\"560\" height=\"315\" src=\"https:\/\/www.youtube.com\/embed\/YJzCkbQ9054?si=M3W9usnKDWh4xHC4&amp;rel=0\" title=\"Watch How to Help the Client Who Doesn\u2019t Want Therapy\" frameborder=\"0\"><\/iframe><\/div>\n<p>Sometimes clients say they want therapy or even <em>think<\/em> they want therapy, but their behaviour shows you otherwise. They may <a href=\"\/blog\/working-with-resistant-clients-5-more-tips\/\">resist your attempts<\/a> to help them because&#8230;<\/p>\n<ul>\n<li>Perhaps there are payoffs to their behaviour. Maybe unconsciously it&#8217;s become more comfortable to have the problem than not to have it.<\/li>\n<li>Perhaps they are really suffering, but are so used to being stoic. Or maybe they <em>want<\/em> to get better, but deep down <a href=\"\/blog\/3-psychotherapy-techniques-help-your-clients-believe-they-will-get-better\/\">don&#8217;t believe it&#8217;s possible<\/a>.<\/li>\n<li>Sometimes those with <a href=\"https:\/\/www.unk.com\/blog\/working-with-low-self-esteem\/\">low self-esteem<\/a> are loath to spend money or time on themselves <em>because<\/em> they don&#8217;t see themselves as a worthy investment of these resources.<\/li>\n<\/ul>\n<p>When we look at how people act rather than merely what they say, we can tell whether they are really motivated or not.<\/p>\n<p>But first, a caveat.<\/p>\n<h3>The world on the couch?<\/h3>\n<p>At this stage I think it&#8217;s worth saying that, just as the physically fit and healthy don&#8217;t need medical first aid, I don&#8217;t think everyone needs or should have therapy.<\/p>\n<p>Some therapy schools insist that all their practitioners have copious analytical therapy, for which they may have to pay extra on top of their training. The idea is that if it&#8217;s good for some people it must be good for <em>all<\/em> people. One woman I knew had to have therapy three times a week for three years just to qualify as a therapist!<\/p>\n<p>But rushing for psychotherapy at the first sign of <em>any<\/em> emotional difficulty may deny a person <a href=\"\/blog\/3-therapy-strategies-to-encourage-post-traumatic-growth-in-your-clients\/\">the chance to develop<\/a> their <em>own<\/em> coping strategies, creative problem solving, \u00a0and personal strength. The pebble is only made smooth by the lashings of the sea.<\/p>\n<p>Sometimes though, people can benefit from sensible, balanced, strategic help. The effects of a person&#8217;s past or current circumstances may become so overwhelming that they really <em>could<\/em> be helped by an able practitioner if they would but entertain the idea.<\/p>\n<p>So what might stop someone seeking help?<\/p>\n<h3>&#8220;I&#8217;m not weak!&#8221;<\/h3>\n<p>Lambert was brought to see me because he was suffering. His wife had &#8220;forced&#8221; him to come. As he sat before me, slumped in exhaustion, he said:<\/p>\n<p>&#8220;I&#8217;m not normally a weak person!&#8221;<\/p>\n<p>But his daughter had died and he&#8217;d never gotten over the trauma. Work stresses were piling up. And\u2026 and\u2026 and\u2026<\/p>\n<p>Lambert was a structural engineer. I told him I knew little about engineering but asked him whether, if a bridge was taking on much heavier loads, would there ever be a case for reinforcing it?<\/p>\n<p>&#8220;Yes, that can be done.&#8221;<\/p>\n<p>&#8220;Would that be the bridge&#8217;s fault? That it needed reinforcing?&#8221;<\/p>\n<p>&#8220;No. It would be because its load had increased.&#8221;<\/p>\n<p>I didn&#8217;t mention weakness again, and nor did Lambert. He didn&#8217;t need to. He now had a frame of reference that made therapy acceptable.<\/p>\n<p>Along with not wanting to seem weak, there is another idea some people form about the need for therapy.<\/p>\n<h3>&#8220;I&#8217;m not crazy!&#8221;<\/h3>\n<p>Some people feel they don&#8217;t need therapy because they don&#8217;t want to think of themselves as &#8216;crazy&#8217; or &#8216;weird&#8217;.<\/p>\n<p>Cassy was &#8220;forced&#8221; to see me by her mother. Once her mum had left the room, the 19-year-old told me she didn&#8217;t want to be here at all. I didn&#8217;t take it personally.<\/p>\n<p>I didn&#8217;t try to argue with her perception or try to convince her logically why therapy for her panic attacks might be a good thing. Her mother had used every argument in the parental book, so she was well primed to resist such ideas.<\/p>\n\n<p>Instead, I told her that I didn&#8217;t blame her for not wanting therapy \u2013 because she didn&#8217;t know yet how it could make her happier.<\/p>\n<p>I didn&#8217;t use &#8216;well&#8217; or &#8216;normal&#8217;, but &#8216;happier&#8217;. I told her that any &#8216;normal&#8217; person her age, or any age, wouldn&#8217;t want therapy. But I also suggested that most people, in my experience, don&#8217;t want panic attacks. She told me how bad the panic attacks were. I asked her:<\/p>\n<p>&#8220;What do you <em>not<\/em> want the most? Panic attacks, or therapy to cure the panic attacks?&#8221;<\/p>\n<p>Cassy smiled: &#8220;Panic attacks, I guess.&#8221; Then she added pensively: &#8220;I guess I think of myself as normal, and it feels like I must be weird to have to have therapy.&#8221;<\/p>\n<p>&#8220;Yes,&#8221; I said, &#8220;&#8216;therapy&#8217; isn&#8217;t a great word. Really, this is a learning situation. I can teach you, your unconscious mind, how to stay relaxed and not bother to intermittently waste all that energy when panic isn&#8217;t needed. Some people <em>like<\/em> the idea of therapy, but for <em>our<\/em> purposes this is really a coaching session. And perhaps we can take just one session. Sound good?&#8221;<\/p>\n<p>Sometimes we can reframe what is normal and what therapy is, but in order to do that we need to <a href=\"\/blog\/rapport-building-techniques\/\"><em>join<\/em> with<\/a>, not argue against, the client&#8217;s perception.<\/p>\n<div class='essb-ctt essb-ctt-modern' onclick=\"window.open('https:\/\/twitter.com\/intent\/tweet?text=When+working+with+reluctant+clients+we+need+to+join+with%2C+not+argue+against%2C+their+perceptions&amp;via=marktyrell&amp;related=marktyrell&amp;url=https:\/\/www.unk.com\/blog\/how-to-help-the-client-who-doesnt-want-therapy\/', 'essb_share_window', 'height=300,width=500,resizable=1,scrollbars=yes');\">\r\n    \t\t\t<span class='essb-ctt-quote'>\r\n    \t\t\tWhen working with reluctant clients we need to join with, not argue against, their perceptions\r\n    \t\t\t<\/span>\r\n    \t\t\t<span class='essb-ctt-button'><span>Click to Tweet<\/span><i class='essb_svg_icon_twitter'><svg class=\"essb-svg-icon\" aria-hidden=\"true\" role=\"img\" focusable=\"false\" width=\"32\" height=\"32\" viewBox=\"0 0 32 32\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M28.75 9.5c0 0.25 0 0.563 0 0.813 0 8.688-6.625 18.688-18.688 18.688-3.688 0-7.188-1.063-10.063-2.938 0.5 0.063 1.063 0.063 1.563 0.063 3.063 0 5.938-1 8.188-2.813-2.875 0-5.313-1.938-6.188-4.563 0.438 0.125 0.813 0.125 1.25 0.125 0.625 0 1.188-0.063 1.75-0.188-3-0.625-5.25-3.313-5.25-6.438 0-0.063 0-0.063 0-0.125 0.875 0.5 1.875 0.813 2.938 0.813-1.75-1.125-2.938-3.188-2.938-5.438 0-1.188 0.375-2.313 0.938-3.313 3.188 4 8.063 6.625 13.5 6.875-0.125-0.5-0.188-1-0.188-1.5 0-3.625 2.938-6.563 6.563-6.563 1.938 0 3.625 0.813 4.813 2.063 1.5-0.313 2.938-0.813 4.188-1.563-0.5 1.5-1.563 2.813-2.875 3.625 1.313-0.188 2.563-0.5 3.75-1.063-0.875 1.313-2 2.5-3.25 3.438z\"><\/path><\/svg><\/i>\r\n    \t\t<\/div>\n<p>But sometimes your client may not quite be ready for therapy.<\/p>\n<h3>What if it gets <em>even<\/em> worse?<\/h3>\n<p>Build your shelter while the sun shines; that&#8217;s what they say. But I suspect on a metaphoric level, most of us don&#8217;t do that. As long as things aren&#8217;t too bad, we let it ride and ignore the gathering storm clouds. But once it starts pouring, we suddenly feel extremely motivated to find cover.<\/p>\n<p>It takes a far-seeing mind to solve problems before they arise.<\/p>\n<p>Human beings often change only when they are <em>forced<\/em> to change. Not forced by other people (often that just makes them resentful and resistant), but by circumstances and discomfort.<\/p>\n<ul>\n<li>The discomfort of not getting on with your project starts to outweigh the pain of doing it. A tipping point is reached and procrastination melts away.<\/li>\n<li>The encroaching ache of loneliness starts to feel stronger than the pain of socializing. Something has to change.<\/li>\n<li>The regret of not having pursued dreams starts to sharpen and cut deeper than the fear of going for it. It becomes easier to act than to not act.<\/li>\n<\/ul>\n<p>The greater the burden we carry, the greater the desire to lay it down.<\/p>\n<p>Has your client reached a tipping point? And if not, can you help them do so?<\/p>\n<h3>The heavy lady who got heavier<\/h3>\n<p>I recall a case history of <a href=\"\/blog\/learn-ericksonian-hypnosis\/\">Dr Milton Erickson<\/a> in which he instructed an overweight woman who was reluctant to engage in therapy to <em>put more weight on.<\/em> Eventually she was begging him to be allowed to start losing weight. He had effectively engineered the problem to become so bad that she felt now she <em>really<\/em> wanted to change. What a crazy example, you might think.<\/p>\n<p>It&#8217;s hard to get away with <a href=\"\/blog\/milton-erickson-went-script-patients\/\">that kind of therapy<\/a> nowadays. Efficacy and what is seen as &#8216;correct&#8217; often don&#8217;t sit easily together. But we <em>can<\/em> pose questions to this effect, such as:<\/p>\n<p>&#8220;If you were to continue eating\/smoking\/self-harming like this into the future, describe to me exactly what you imagine it will be like for you.&#8221;<\/p>\n<p>I might even hypnotically have a client experience the &#8216;rain&#8217; before it starts pouring. This may be enough, as I stretch this metaphor to breaking point, to get them motivated to build that shelter now!<\/p>\n<p>Have you ever read or watched Charles Dickens&#8217;s <a href=\"https:\/\/en.wikipedia.org\/wiki\/A_Christmas_Carol\" target=\"_blank\" rel=\"noopener noreferrer\"><em>A Christmas Carol<\/em><\/a>? Ebenezer Scrooge is forced (by the ghost of Christmas Future) to confront his own potential fate <em>if he carried on as he was doing<\/em> . He doesn&#8217;t have to wait for the future, by which time it may be too late, because he&#8217;s been given access to it in the present.<\/p>\n<p>Making changes when we reach rock bottom is all very well, but people can be more sophisticated than that.<\/p>\n<p>So:<\/p>\n<ul>\n<li>Don&#8217;t argue or tussle with the client to get them to see they need therapy. When you push a client, they may push back even harder. No one likes to feel pulled or pushed, no matter how good the intentions behind it.<\/li>\n<li>Help make therapy acceptable to your reluctant client by reframing it to fit their interests and understandings. Just because a bridge needs reinforcing doesn&#8217;t mean it&#8217;s the fault of the bridge!<\/li>\n<li>Help them see how bad things <em>might<\/em> get (without change) or how good things <em>could<\/em> be (with change). This can be done through careful discussion and also hypnotic experience. Remember old Ebenezer Scrooge!<\/li>\n<\/ul>\n<p>Ultimately we don&#8217;t, shouldn&#8217;t, and can&#8217;t force people to engage in therapy. They are free agents.<\/p>\n<p>But we can help frame therapy as acceptable within their frame of interest and understanding, help make it feel normal, and focus on the possible eventualities if they continue as they are <em>without<\/em> help or change.<\/p>\n<p>We all need help sometimes, and there need never be any shame in that.<\/p>\n<p><strong>And you can develop your reframing skills and free your clients from their preconceptions with our Conversational Reframing course. <a href=\"\/blog\/conversational-reframing-course\/\">Click here to be notified when the course is open for booking.<\/a><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Arguing against a reluctant client will push them further away. Follow these reframing tips to help them see the benefits therapy can bring.<\/p>\n","protected":false},"author":1,"featured_media":13177,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_mi_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"episode_type":"","audio_file":"","cover_image":"","cover_image_id":"","duration":"","filesize":"","date_recorded":"","explicit":"","block":"","itunes_episode_number":"","itunes_title":"","itunes_season_number":"","itunes_episode_type":"","filesize_raw":""},"categories":[10],"tags":[365,46,481,120],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v19.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>How to Help the Client Who Doesn\u2019t Want Therapy<\/title>\n<meta name=\"description\" content=\"Reframing therapy so that reluctant clients can accept help\" \/>\n<meta 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